Prostate Artery Embolization

Proud partner of the PAE pioneers

Image-guided solutions for PAE

Prostate artery embolization (PAE) is a complex and challenging procedure that requires a cautious approach. Intra-procedural image guidance technology can help IR professionals strike the ideal balance – by providing safe and effective treatment at the lowest possible dose.

Dealing with complex and varied vessel anatomy

The vessel anatomy in the pelvic area varies extremely and includes highly branched, small arteries. This makes catheter navigation a lengthy, laborious process, with a high risk of unintentional non-targeted treatment. Careful assessment of the vasculature as well as thorough planning and monitoring of the procedure is therefore key to performing the intervention effectively and efficiently.

200° rotation from HEAD, LEFT and RIGHT side with Artis ceiling systems and ARTIS pheno – for uncompromised 3D soft-tissue image quality in the pelvis and any other body region

Prof. Carnevale: “syngo DynaCT is the most important software for the embolization procedure. It identifies the arteries feeding the prostate, gives me an idea of the percentage of the prostate I am treating, and – even more importantly – helps me avoid non-targeted embolization.”1

Balancing procedure safety and low dose in a sensitive body region

The use of 3D image information helps to increase procedure safety, limit the risk of complications in PAE, and achieve better clinical outcomes. On the other hand, it is important to explore all the possible options to actively reduce radiation dose, given that PAE targets an extremely dose-sensitive area of the body.

In line with the CARE strategy, 3D imaging does present opportunities to reduce dose. Dedicated acquisition programs can reduce the number of frames or the dose per frame, thus helping to lower overall radiation dose while maintaining procedure safety.

syngo DynaCT with lower dose

Perform syngo 3D/3D Fusion based on intra-procedural 3D datasets acquired with up to 72% less dose using the syngo DynaCT Low Dose protocol

Given the complex vessel anatomy of the pelvic region, it is a challenge to find the arteries that feed the prostate gland, define the optimal catheter position and navigate quickly to the planned treatment position. Long navigation times result in long fluoro times and hence increased radiation exposure. Every Artis system includes a CARE package that actively reduces dose and helps IR specialists to work effectively with low dose settings.

syngo Embolization Guidance

Simple planning and guidance for catheter-based interventions

Automatic path computation from a marked proximal position (e.g. the tip of a diagnostic catheter) to the marked distal vessels feeding a lesion

Clinical protocols and case studies

Learn from the PAE pioneers who streamlined their clinical workflow in a way that effective and safe treatment as well as reduction of radiation dose are always highest priority. Get tips and tricks on the use of image guidance, on optimal injection and acquisition protocols, or the integration of pre-interventional imaging during the intervention.

Related Products, Services & Resources

1The statements by Siemens’ customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.